Ebola virus disease surveillance and response preparedness in northern Ghana
Identifieur interne : 000212 ( Main/Exploration ); précédent : 000211; suivant : 000213Ebola virus disease surveillance and response preparedness in northern Ghana
Auteurs : Martin N. Adokiya [Ghana] ; John K. Awoonor-Williams [Ghana, Suisse]Source :
- Global Health Action [ 1654-9716 ] ; 2016.
Abstract
The recent Ebola virus disease (EVD) outbreak has been described as unprecedented in terms of morbidity, mortality, and geographical extension. It also revealed many weaknesses and inadequacies for disease surveillance and response systems in Africa due to underqualified staff, cultural beliefs, and lack of trust for the formal health care sector. In 2014, Ghana had high risk of importation of EVD cases.
The objective of this study was to assess the EVD surveillance and response system in northern Ghana.
This was an observational study conducted among 47 health workers (district directors, medical, disease control, and laboratory officers) in all 13 districts of the Upper East Region representing public, mission, and private health services. A semi-structured questionnaire with focus on core and support functions (e.g. detection, confirmation) was administered to the informants. Their responses were recorded according to specific themes. In addition, 34 weekly Integrated Disease Surveillance and Response reports (August 2014 to March 2015) were collated from each district.
In 2014 and 2015, a total of 10 suspected Ebola cases were clinically diagnosed from four districts. Out of the suspected cases, eight died and the cause of death was unexplained. All the 10 suspected cases were reported, none was confirmed. The informants had knowledge on EVD surveillance and data reporting. However, there were gaps such as delayed reporting, low quality protective equipment (e.g. gloves, aprons), inadequate staff, and lack of laboratory capacity. The majority (38/47) of the respondents were not satisfied with EVD surveillance system and response preparedness due to lack of infrared thermometers, ineffective screening, and lack of isolation centres.
EVD surveillance and response preparedness is insufficient and the epidemic is a wake-up call for early detection and response preparedness. Ebola surveillance remains a neglected public health issue. Thus, disease surveillance strengthening is urgently needed in Ghana.
Url:
DOI: 10.3402/gha.v9.29763
PubMed: 27146443
PubMed Central: 4856840
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000039
- to stream Pmc, to step Curation: 000039
- to stream Pmc, to step Checkpoint: 000104
- to stream Ncbi, to step Merge: 000975
- to stream Ncbi, to step Curation: 000975
- to stream Ncbi, to step Checkpoint: 000975
- to stream Main, to step Merge: 000212
- to stream Main, to step Curation: 000212
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ebola virus disease surveillance and response preparedness in northern Ghana</title><author><name sortKey="Adokiya, Martin N" sort="Adokiya, Martin N" uniqKey="Adokiya M" first="Martin N." last="Adokiya">Martin N. Adokiya</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Community Health, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Community Health, School of Allied Health Sciences, University for Development Studies, Tamale</wicri:regionArea><wicri:noRegion>Tamale</wicri:noRegion></affiliation></author><author><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Regional Health Directorate, Ghana Health Service, Upper East Region, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service, Upper East Region, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003">Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Swiss Tropical and Public Health Institute, University of Basel, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27146443</idno><idno type="pmc">4856840</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856840</idno><idno type="RBID">PMC:4856840</idno><idno type="doi">10.3402/gha.v9.29763</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000039</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000039</idno><idno type="wicri:Area/Pmc/Curation">000039</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000039</idno><idno type="wicri:Area/Pmc/Checkpoint">000104</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000104</idno><idno type="wicri:Area/Ncbi/Merge">000975</idno><idno type="wicri:Area/Ncbi/Curation">000975</idno><idno type="wicri:Area/Ncbi/Checkpoint">000975</idno><idno type="wicri:doubleKey">1654-9716:2016:Adokiya M:ebola:virus:disease</idno><idno type="wicri:Area/Main/Merge">000212</idno><idno type="wicri:Area/Main/Curation">000212</idno><idno type="wicri:Area/Main/Exploration">000212</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ebola virus disease surveillance and response preparedness in northern Ghana</title><author><name sortKey="Adokiya, Martin N" sort="Adokiya, Martin N" uniqKey="Adokiya M" first="Martin N." last="Adokiya">Martin N. Adokiya</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Community Health, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Community Health, School of Allied Health Sciences, University for Development Studies, Tamale</wicri:regionArea><wicri:noRegion>Tamale</wicri:noRegion></affiliation></author><author><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Regional Health Directorate, Ghana Health Service, Upper East Region, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service, Upper East Region, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003">Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Swiss Tropical and Public Health Institute, University of Basel, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>The recent Ebola virus disease (EVD) outbreak has been described as unprecedented in terms of morbidity, mortality, and geographical extension. It also revealed many weaknesses and inadequacies for disease surveillance and response systems in Africa due to underqualified staff, cultural beliefs, and lack of trust for the formal health care sector. In 2014, Ghana had high risk of importation of EVD cases.</p></sec><sec id="st2"><title>Objective</title><p>The objective of this study was to assess the EVD surveillance and response system in northern Ghana.</p></sec><sec id="st3"><title>Design</title><p>This was an observational study conducted among 47 health workers (district directors, medical, disease control, and laboratory officers) in all 13 districts of the Upper East Region representing public, mission, and private health services. A semi-structured questionnaire with focus on core and support functions (e.g. detection, confirmation) was administered to the informants. Their responses were recorded according to specific themes. In addition, 34 weekly Integrated Disease Surveillance and Response reports (August 2014 to March 2015) were collated from each district.</p></sec><sec id="st4"><title>Results</title><p>In 2014 and 2015, a total of 10 suspected Ebola cases were clinically diagnosed from four districts. Out of the suspected cases, eight died and the cause of death was unexplained. All the 10 suspected cases were reported, none was confirmed. The informants had knowledge on EVD surveillance and data reporting. However, there were gaps such as delayed reporting, low quality protective equipment (e.g. gloves, aprons), inadequate staff, and lack of laboratory capacity. The majority (38/47) of the respondents were not satisfied with EVD surveillance system and response preparedness due to lack of infrared thermometers, ineffective screening, and lack of isolation centres.</p></sec><sec id="st5"><title>Conclusion</title><p>EVD surveillance and response preparedness is insufficient and the epidemic is a wake-up call for early detection and response preparedness. Ebola surveillance remains a neglected public health issue. Thus, disease surveillance strengthening is urgently needed in Ghana.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alexander, Ka" uniqKey="Alexander K">KA Alexander</name></author><author><name sortKey="Sanderson, Ce" uniqKey="Sanderson C">CE Sanderson</name></author><author><name sortKey="Marathe, M" uniqKey="Marathe M">M Marathe</name></author><author><name sortKey="Lewis, Bl" uniqKey="Lewis B">BL Lewis</name></author><author><name sortKey="Rivers, Cm" uniqKey="Rivers C">CM Rivers</name></author><author><name sortKey="Shaman, J" uniqKey="Shaman J">J Shaman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Issah, K" uniqKey="Issah K">K Issah</name></author><author><name sortKey="Nartey, K" uniqKey="Nartey K">K Nartey</name></author><author><name sortKey="Amoah, R" uniqKey="Amoah R">R Amoah</name></author><author><name sortKey="Bachan, Eg" uniqKey="Bachan E">EG Bachan</name></author><author><name sortKey="Aleeba, J" uniqKey="Aleeba J">J Aleeba</name></author><author><name sortKey="Yeetey, E" uniqKey="Yeetey E">E Yeetey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gomes, Mf" uniqKey="Gomes M">MF Gomes</name></author><author><name sortKey="Pastore, Ypa" uniqKey="Pastore Y">YPA Pastore</name></author><author><name sortKey="Rossi, L" uniqKey="Rossi L">L Rossi</name></author><author><name sortKey="Chao, D" uniqKey="Chao D">D Chao</name></author><author><name sortKey="Longini, I" uniqKey="Longini I">I Longini</name></author><author><name sortKey="Halloran, Me" uniqKey="Halloran M">ME Halloran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gostin, Lo" uniqKey="Gostin L">LO Gostin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bausch, Dg" uniqKey="Bausch D">DG Bausch</name></author><author><name sortKey="Schwarz, L" uniqKey="Schwarz L">L Schwarz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thacker, Sb" uniqKey="Thacker S">SB Thacker</name></author><author><name sortKey="Berkelman, Rl" uniqKey="Berkelman R">RL Berkelman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Adokiya, Mn" uniqKey="Adokiya M">MN Adokiya</name></author><author><name sortKey="Awoonor Williams, Jk" uniqKey="Awoonor Williams J">JK Awoonor-Williams</name></author><author><name sortKey="Barau, Iy" uniqKey="Barau I">IY Barau</name></author><author><name sortKey="Beiersmann, C" uniqKey="Beiersmann C">C Beiersmann</name></author><author><name sortKey="Mueller, O" uniqKey="Mueller O">O Mueller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kasolo, F" uniqKey="Kasolo F">F Kasolo</name></author><author><name sortKey="Yoti, Z" uniqKey="Yoti Z">Z Yoti</name></author><author><name sortKey="Bakyaita, N" uniqKey="Bakyaita N">N Bakyaita</name></author><author><name sortKey="Gaturuku, P" uniqKey="Gaturuku P">P Gaturuku</name></author><author><name sortKey="Katz, R" uniqKey="Katz R">R Katz</name></author><author><name sortKey="Fischer, Je" uniqKey="Fischer J">JE Fischer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nsubuga, P" uniqKey="Nsubuga P">P Nsubuga</name></author><author><name sortKey="Nwanyanwu, O" uniqKey="Nwanyanwu O">O Nwanyanwu</name></author><author><name sortKey="Nkengasong, Jn" uniqKey="Nkengasong J">JN Nkengasong</name></author><author><name sortKey="Mukanga, D" uniqKey="Mukanga D">D Mukanga</name></author><author><name sortKey="Trostle, M" uniqKey="Trostle M">M Trostle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nsubuga, P" uniqKey="Nsubuga P">P Nsubuga</name></author><author><name sortKey="Brown, Wg" uniqKey="Brown W">WG Brown</name></author><author><name sortKey="Groseclose, Sl" uniqKey="Groseclose S">SL Groseclose</name></author><author><name sortKey="Ahadzie, L" uniqKey="Ahadzie L">L Ahadzie</name></author><author><name sortKey="Talisuna, Ao" uniqKey="Talisuna A">AO Talisuna</name></author><author><name sortKey="Mmbuji, P" uniqKey="Mmbuji P">P Mmbuji</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kabatereine, Nb" uniqKey="Kabatereine N">NB Kabatereine</name></author><author><name sortKey="Malecela, M" uniqKey="Malecela M">M Malecela</name></author><author><name sortKey="Lado, M" uniqKey="Lado M">M Lado</name></author><author><name sortKey="Zaramba, S" uniqKey="Zaramba S">S Zaramba</name></author><author><name sortKey="Amiel, O" uniqKey="Amiel O">O Amiel</name></author><author><name sortKey="Kolaczinski, Jh" uniqKey="Kolaczinski J">JH Kolaczinski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nsubuga, P" uniqKey="Nsubuga P">P Nsubuga</name></author><author><name sortKey="Eseko, N" uniqKey="Eseko N">N Eseko</name></author><author><name sortKey="Tadesse, W" uniqKey="Tadesse W">W Tadesse</name></author><author><name sortKey="Ndayimirije, N" uniqKey="Ndayimirije N">N Ndayimirije</name></author><author><name sortKey="Stella, C" uniqKey="Stella C">C Stella</name></author><author><name sortKey="Mcnabb, S" uniqKey="Mcnabb S">S McNabb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcnabb, Sj" uniqKey="Mcnabb S">SJ McNabb</name></author><author><name sortKey="Chungong, S" uniqKey="Chungong S">S Chungong</name></author><author><name sortKey="Ryan, M" uniqKey="Ryan M">M Ryan</name></author><author><name sortKey="Wuhib, T" uniqKey="Wuhib T">T Wuhib</name></author><author><name sortKey="Nsubuga, P" uniqKey="Nsubuga P">P Nsubuga</name></author><author><name sortKey="Alemu, W" uniqKey="Alemu W">W Alemu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Perry, Hn" uniqKey="Perry H">HN Perry</name></author><author><name sortKey="Mcdonnell, Sm" uniqKey="Mcdonnell S">SM McDonnell</name></author><author><name sortKey="Alemu, W" uniqKey="Alemu W">W Alemu</name></author><author><name sortKey="Nsubuga, P" uniqKey="Nsubuga P">P Nsubuga</name></author><author><name sortKey="Chungong, S" uniqKey="Chungong S">S Chungong</name></author><author><name sortKey="Otten, Mw" uniqKey="Otten M">MW Otten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adokiya, Mn" uniqKey="Adokiya M">MN Adokiya</name></author><author><name sortKey="Awoonor Williams, Jk" uniqKey="Awoonor Williams J">JK Awoonor-Williams</name></author><author><name sortKey="Beiersmann, C" uniqKey="Beiersmann C">C Beiersmann</name></author><author><name sortKey="Muller, O" uniqKey="Muller O">O Muller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mills, S" uniqKey="Mills S">S Mills</name></author><author><name sortKey="Williams, Je" uniqKey="Williams J">JE Williams</name></author><author><name sortKey="Wak, G" uniqKey="Wak G">G Wak</name></author><author><name sortKey="Hodgson, A" uniqKey="Hodgson A">A Hodgson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Debpuur, C" uniqKey="Debpuur C">C Debpuur</name></author><author><name sortKey="Welaga, P" uniqKey="Welaga P">P Welaga</name></author><author><name sortKey="Wak, G" uniqKey="Wak G">G Wak</name></author><author><name sortKey="Hodgson, A" uniqKey="Hodgson A">A Hodgson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oduro, Ar" uniqKey="Oduro A">AR Oduro</name></author><author><name sortKey="Wak, G" uniqKey="Wak G">G Wak</name></author><author><name sortKey="Azongo, D" uniqKey="Azongo D">D Azongo</name></author><author><name sortKey="Debpuur, C" uniqKey="Debpuur C">C Debpuur</name></author><author><name sortKey="Wontuo, P" uniqKey="Wontuo P">P Wontuo</name></author><author><name sortKey="Kondayire, F" uniqKey="Kondayire F">F Kondayire</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Couttolenc, Bf" uniqKey="Couttolenc B">BF Couttolenc</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kiberu, Vm" uniqKey="Kiberu V">VM Kiberu</name></author><author><name sortKey="Matovu, Jk" uniqKey="Matovu J">JK Matovu</name></author><author><name sortKey="Makumbi, F" uniqKey="Makumbi F">F Makumbi</name></author><author><name sortKey="Kyozira, C" uniqKey="Kyozira C">C Kyozira</name></author><author><name sortKey="Mukooyo, E" uniqKey="Mukooyo E">E Mukooyo</name></author><author><name sortKey="Wanyenze, Rk" uniqKey="Wanyenze R">RK Wanyenze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Philips, M" uniqKey="Philips M">M Philips</name></author><author><name sortKey="Markham, A" uniqKey="Markham A">A Markham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phalkey, Rk" uniqKey="Phalkey R">RK Phalkey</name></author><author><name sortKey="Shukla, S" uniqKey="Shukla S">S Shukla</name></author><author><name sortKey="Shardul, S" uniqKey="Shardul S">S Shardul</name></author><author><name sortKey="Ashtekar, N" uniqKey="Ashtekar N">N Ashtekar</name></author><author><name sortKey="Valsa, S" uniqKey="Valsa S">S Valsa</name></author><author><name sortKey="Awate, P" uniqKey="Awate P">P Awate</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huaman, Ma" uniqKey="Huaman M">MA Huaman</name></author><author><name sortKey="Araujo Castillo, Rv" uniqKey="Araujo Castillo R">RV Araujo-Castillo</name></author><author><name sortKey="Soto, G" uniqKey="Soto G">G Soto</name></author><author><name sortKey="Neyra, Jm" uniqKey="Neyra J">JM Neyra</name></author><author><name sortKey="Quispe, Ja" uniqKey="Quispe J">JA Quispe</name></author><author><name sortKey="Fernandez, Mf" uniqKey="Fernandez M">MF Fernandez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rumisha, Sf" uniqKey="Rumisha S">SF Rumisha</name></author><author><name sortKey="Mboera, Le" uniqKey="Mboera L">LE Mboera</name></author><author><name sortKey="Senkoro, Kp" uniqKey="Senkoro K">KP Senkoro</name></author><author><name sortKey="Gueye, D" uniqKey="Gueye D">D Gueye</name></author><author><name sortKey="Mmbuji, Pk" uniqKey="Mmbuji P">PK Mmbuji</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>Suisse</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Adokiya, Martin N" sort="Adokiya, Martin N" uniqKey="Adokiya M" first="Martin N." last="Adokiya">Martin N. Adokiya</name></noRegion><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name></country><country name="Suisse"><noRegion><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000212 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000212 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:4856840
|texte= Ebola virus disease surveillance and response preparedness in northern Ghana
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:27146443" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |